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首页> 外文期刊>Urology practice. >Providing Access to Care through a 24-Hour Dedicated Stone Line
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Providing Access to Care through a 24-Hour Dedicated Stone Line

机译：通过24小时专用石线提供护理

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Introduction: Many patients with urolithiasis are seen acutely in the emergency department for initial treatment. In an effort to improve cost and quality of care increasing focus has been placed on shifting management of low acuity conditions from emergency departments to outpatient settings. One barrier to such initiatives is timely access to outpatient services. We established a telephone stone line to provide access to outpatient urological care of kidney stones and we report our initial experience. Methods: A 24-hour dedicated telephone stone line was created with calls answered by dedicated staff. A computer program was created to track stone line calls and post-call care. We retrospectively analyzed all stone line calls received in a 4-year period with the focus on utilization and cost. An e-mail survey was performed to assess patient satisfaction. Results: Between January 2009 and July 2013 the mean call volume was 2,107 per year. A significant distribution of calls was seen across all days and hours. Duration was less than 15 minutes in 7,761 calls (82%). Patients or family members placed 77% of calls and physicians placed 16%. As a result of a stone line call, 4,173 patients (76%) were seen by a urologist within 48 hours. Of the patients 88% reported satisfaction with the stone line. The mean annual cost of providing the telephone stone line was $51,873. Conclusions: Our experience demonstrates sustained utilization of and satisfaction with the telephone stone line. Further, stone line use results in timely outpatient evaluation in the majority of patients. Further analysis to assess for a cost benefit is ongoing.
机译：导言：许多尿石症患者在急诊室接受初期治疗时病情严重。为了提高护理成本和质量，越来越多的重点放在将低视力状况的管理从急诊科转移到门诊。此类举措的一个障碍是及时获得门诊服务。我们建立了一条电话结石热线，为肾结石患者提供门诊泌尿科护理，并报告了我们的初步经验。方法：建立24小时电话专线，由专人接听。创建了一个计算机程序来跟踪石线通话和通话后护理。我们回顾性分析了四年内收到的所有stone line电话，重点是利用率和成本。进行电子邮件调查以评估患者满意度。结果：2009年1月至2013年7月期间，平均每年通话量为2107次。在所有的日子和时间里，电话的分布都很明显。7761次通话中，通话时间不足15分钟（82%）。患者或家属拨打的电话占77%，医生拨打的电话占16%。通过拨打结石热线，4173名患者（76%）在48小时内被泌尿科医生发现。88%的患者对结石线表示满意。提供电话石线的平均年成本为51873美元。结论：我们的经验表明电话线的持续使用和满意度。此外，在大多数患者中，使用石线可以及时进行门诊评估。正在进行进一步分析，以评估成本效益。

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